Despite sharing similar risk factors (impaired fasting plasma glucose, high

blood pressure, obesity, diet high in sodium) with lifestyle related Non-
Communicable Diseases (Cardiovascular Disease, Diabetes, Cancer, Chronic
Respiratory Diseases), chronic kidney disease is mostly neglected. The onset of
CKD is insidious and asymptomatic in its early stages; however, appropriate
interventions can slow its progression to its most adverse complication which is
End-Stage Kidney Disease, a condition that requires renal replacement therapy. To
curb the spiraling number of patients progressing to ESKD, prevention and control
strategies need to be linked to similar noncommunicable diseases to eliminate the
shared risk factors and facilitate early detection, evaluation and management of
CKD.
The 2019 Global Burden of Disease, Injuries, and Risk Factors Study (GBD)
has shown that in the Philippines, Non-Communicable Diseases- ischemic heart
disease, stroke, diabetes and chronic kidney disease are among the top 10 causes
of death and disability combined. CKD is the 4"" leading cause of death in the
country. Relative to this, the Philippine Renal Disease Registry reveals that from
2006-2016, the leading cause of ESKD in the country is secondary to complications
of diabetes, hypertension and chronic glomerulonephritis.
The increasing number of patients with chronic kidney disease has become
an urgent national concern due to the burden of the disease and high costs of
care. Hence, there is a need for a harmonized set of guidelines on the prevention
and control of CKD integrated with other NCD programs. This issuance prescribes
general guidelines aligned with FOURmula OnePlus for Health and the Universal
Health Care Act that ensures provision of essential health services through the
Health Care Provider Network with linkages to apex hospitals and other facilities
providing specialized services.
End Stage Renal Disease (ESRD) is ranked as the top six cause of death in
Kalinga in 2012 with 51 reported cases at the Provincial Health Office (PHO).
According to Donalyn Lasmarias, point person on lifestyle diseases at the Kalinga
PHO, the renal disease has sustained its fifth to sixth rank for the past five years,
making it one of the top three lifestyle diseases of mortality in the province. For
the first quarter this year, some public schools have also conducted a deep stick
urine test among students and at least four female ages 5-14 were found to be
positive of renal disease. Rural Health Units have also reported that deep stick
conducted among adults ages 20-64 resulted to the finding of at least 12 females
and four males to be positive or renal disease. These cases were referred to the
municipal health units or the provincial hospital for proper management. Several
patients she said are availing of outside health facilities for their treatment such
dialysis and other medical needs considering that the Kalinga Provincial Hospital
has yet to establish its own dialysis center. Based on studies diabetes and high
blood pressure are the most common causes of ESRD, thus it is vital to manage
these with your doctor so it would not result to ESRD or kidney failure which is the
stage when the kidneys no longer work for a person to live without dialysis or a
kidney transplant. Other causes also include auto immune diseases (like lupus, HIV
and IgA nephropathy), Genetic diseases like polycystic kidney disease, injuries and
some medicines or other drugs. Lasmarias said kidney diseases could be
prevented by living a healthy lifestyle which include eating healthy foods, drinking
a lot of water and getting a lot of exercises. Other ways to help protect your
kidneys is to eat a diet low in fat and salt, have regular check-ups with your doctor,
avoid tobacco and limit alcohol intake.

Dytuy nagkitaan mi:

https://www.sunstar.com.ph/more-articles/renal-disease-a-top-cause-of-death-in-
kalinga

https://law.upd.edu.ph/wp-content/uploads/2021/05/DOH-Administrative-Order-
No-2021-0010.pdf